{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T14:43:12Z","timestamp":1787668992318,"version":"build-2736575974"},"reference-count":34,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015769","name":"Dexcom","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015769","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Despite increased use of automated insulin delivery (AID) systems, limited attention has been paid to users' training and support needs. Indeed, most guidance has been driven by clinician opinion rather than users' experiences and needs. We explored the experiences of adults with type 1 diabetes initiated onto AID to make recommendations for supporting optimal use of AID systems in routine clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted interviews with\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200922 individuals who used the Tandem t:slim X2\u2122 with Control\u2010IQ technology AID system for \u22656 and \u226412\u2009months. Data were analysed thematically.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Users reported wide\u2010ranging clinical and quality\u2010of\u2010life benefits. However, to actualise these benefits, they highlighted a need for bespoke training which took account of their learning preferences and strengths, pace of learning and prior insulin pump experience, together with ongoing support from healthcare professionals. Thematic analysis uncovered four overlapping support needs: (1) support reviewing data and making adjustments to the system's settings, (2) emotional\/psychological support to help sustain motivation and\/or adopt more passive self\u2010management roles, (3) support to unlearn unhelpful behaviours and\/or establish new habits and routines; and (4) educational support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>AID systems are an exciting advance in diabetes treatment. However, to achieve optimal gains, users would benefit from initial training and ongoing glycaemic, educational, and psychosocial support tailored to their preferred ways of learning and personal circumstances. Consideration should be given to adapting existing education and training packages for AID system users to incorporate behavioural science techniques and upskilling diabetes professionals in behaviour change approaches and motivational interviewing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.70153","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T08:34:29Z","timestamp":1759480469000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["What training and support do people need to make optimal use of automated insulin delivery systems: Interview study"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8016-7374","authenticated-orcid":false,"given":"Julia","family":"Lawton","sequence":"first","affiliation":[{"name":"Usher Institute, Medical School University of Edinburgh  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catriona J.","family":"Kyle","sequence":"additional","affiliation":[{"name":"Usher Institute, NHS Lothian Western General Hospital  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas J. G.","family":"Chambers","sequence":"additional","affiliation":[{"name":"Usher Institute, NHS Lothian Western General Hospital  Edinburgh UK"},{"name":"Centre for Discovery Brain Science University of Edinburgh  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lesley","family":"Steven","sequence":"additional","affiliation":[{"name":"Usher Institute, NHS Lothian Western General Hospital  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashton","family":"Currie","sequence":"additional","affiliation":[{"name":"Usher Institute, NHS Lothian Western General Hospital  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fraser","family":"Gibb","sequence":"additional","affiliation":[{"name":"NHS Lothian, Royal Infirmary of Edinburgh  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A.","family":"McKnight","sequence":"additional","affiliation":[{"name":"Usher Institute, Medical School University of Edinburgh  Edinburgh UK"},{"name":"Usher Institute, NHS Lothian Western General Hospital  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5835-3402","authenticated-orcid":false,"given":"David","family":"Rankin","sequence":"additional","affiliation":[{"name":"Usher Institute, Medical School University of Edinburgh  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,3]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000543654"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1210\/endrev\/bnac022"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dom.14815"},{"key":"e_1_2_14_5_1","unstructured":"National Institute for Health and Care Excellence (NICE).Hybrid closed loop Systems for Managing Blood Glucose Levels in type 1 diabetes: technology appraisal guidance TA943.2023Accessed May 21 2025.https:\/\/www.nice.org.uk\/guidance\/ta943"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/19322968241275963"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjd.2021.02.006"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2022.0479"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2018.0202"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1210\/js.2019-OR14-5"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2024.0528"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc23-0635"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13406"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/6260002"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105317718615"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2022.109877"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjd.2024.08.005"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.15086"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.15020"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14907"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.15449"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.15078"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.2337\/dci22-0018"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/dom.14273"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13300-023-01486-2"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2024.78502.abstracts"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2018.0306"},{"key":"e_1_2_14_29_1","volume-title":"Basics of Qualitative Research: Grounded Theory Procedures and Techniques","author":"Strauss A","year":"1990"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2023.0323"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.15486"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.70058"},{"key":"e_1_2_14_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.70078"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.15375"},{"key":"e_1_2_14_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.15371"}],"container-title":["Diabetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dme.70153","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T15:11:03Z","timestamp":1763565063000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dme.70153"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,3]]},"references-count":34,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/dme.70153"],"URL":"https:\/\/doi.org\/10.1111\/dme.70153","archive":["Portico"],"relation":{},"ISSN":["0742-3071","1464-5491"],"issn-type":[{"value":"0742-3071","type":"print"},{"value":"1464-5491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,3]]},"assertion":[{"value":"2025-06-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70153"}}